title: Assessment of mitral annular and velocity vector imaging in acute myopericarditis.
abstract: A 25-year-old student presenting with pleuritic chest pain, elevated troponin levels and subtle electrocardiogram abnormalities was treated for presumptive myopericarditis. On echocardiography, a lower than expected mitral annular displacement and systolic velocity were identified along with abnormalities in left ventricular strain generation that matched areas of edema and necrosis by cardiac magnetic resonance imaging. The patient was treated with nonsteroidal antiinflammatory drugs and colchicine, and both the symptoms and echocardiographic abnormalities rapidly resolved. These novel findings suggest that changes in mitral annular displacement and systolic velocity occur in acute myopericarditis and may be useful in following the course of the disease.
authors.affiliation: Department of Internal Medicine, University of Cincinnati College of Medicine, Cincinnati, Ohio.
authors.forename: Matthew
authors.initials: M
authors.lastname: Lynch
authors.forename: Robert
authors.initials: R
authors.lastname: O'Donnell
authors.forename: Neal L
authors.initials: NL
authors.lastname: Weintraub
authors.forename: Angel
authors.initials: A
authors.lastname: López-Candales
mesh_terms: D000208:Acute Disease; D000328:Adult; D000894:Anti-Inflammatory Agents, Non-Steroidal / Q000627:therapeutic use; D003078:Colchicine / Q000627:therapeutic use; D003937:Diagnosis, Differential; D004452:Echocardiography / Q000379:methods*; D054459:Elasticity Imaging Techniques / Q000379:methods*; D006801:Humans; D008297:Male; D008943:Mitral Valve / Q000000981:diagnostic imaging*; D009205:Myocarditis / Q000000981:diagnostic imaging* / Q000188:drug therapy; D010493:Pericarditis / Q000000981:diagnostic imaging* / Q000188:drug therapy; D016896:Treatment Outcome; D050257:Tubulin Modulators / Q000627:therapeutic use
chemical_list: D000894:Anti-Inflammatory Agents, Non-Steroidal; D050257:Tubulin Modulators; D003078:Colchicine
keywords: cardiac magnetic resonance imaging; echocardiography; mitral annular systolic displacement; mitral annular systolic velocity; myopericarditis; speckle tracking; velocity vector imaging